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Re: Endometrial hyperplasia From: Henry Gregor (henrygregor@yahoo.com) Tue Jul 26 11:55:34 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Vulvar MRSA" Previous message: benjamin sharp: "Re: Endometrial hyperplasia" In reply to: benjamin sharp: "Re: Endometrial hyperplasia" Next in thread: dmecnm@aol.com: "Re: Endometrial hyperplasia" Reply: dmecnm@aol.com: "Re: Endometrial hyperplasia" Thanks. I suspect the limitation here would be getting coverage for the IUS for this indication. That would be very important for the patient, as she is the main caregiver for a forty years plus son with developmental abnormalities keeping in very dependent status. Hank benjamin sharp <sharp_benjamint@hotmail.com> wrote: In the UK we are trying levonorgestrel releasing intrauterine system for this with good tolerance, avoiding the systemic effeects that other delivery systems give. If, at rescan, 4/12 later the endometrium is thinned down to less than 5mm( as is usually the case),there is no requirement for resampling. If it is greater than 5mm you could use a pipelle with the IUS in situ - still get a good sample. >From: henrygregor@yahoo.com (Hank Gregor) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L >Subject: Endometrial hyperplasia >Date: Tue, 26 Jul 2005 10:32:29 -0500 > >I have a 68 yo patient who presented with postmenopausal bleeding, with >a large endocervical polyp. Clinical includes several years of E/P HRT. >She stopped the P at the time of the WHI out of concern re the prempro >reports. Unfortunately, she kept on with E alone these last several >years. > >At hysto d&c a benign endocx polyp was removed, an abundant amount of >endometrial tissue was sampled, with a complex adenomatous hyperplasia, >w/o atypia being read on final path. > >I propose to treat for endometrial regression, with sustained >progesteron alone, and interval followup sampling. Any comments re >choice of P, either micronized or synthetic (?Megace?) and dosage? > >Thanks, > >Hank >Gregor > Next message: ainsron: "Re: Vulvar MRSA" Previous message: benjamin sharp: "Re: Endometrial hyperplasia" In reply to: benjamin sharp: "Re: Endometrial hyperplasia" Next in thread: dmecnm@aol.com: "Re: Endometrial hyperplasia" Reply: dmecnm@aol.com: "Re: Endometrial hyperplasia"

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